Individual
DR. AMITABH CHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6029
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D79781
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2011
Last updated
01/24/2017
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